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NPI Code Detail

MEDICARE: DR. THOMAS E. WELSH III M.D.

MEDICARE: DR. THOMAS E. WELSH III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician15061MS
2208M00000XHospitalist Physician15061MS
3207R00000XInternal Medicine Physician15061MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568444974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E. WELSH III M.D.
Provider Business Mailing Address
First Line : PO BOX 2106
Second Line :
City : MERIDIAN
State : MS
Zip : 39302-2106
Country : US
Telephone Number : 601-703-4331
Fax Number : 601-703-3080
Provider Business Practice Location Address
First Line : 25117 HIGHWAY 15
Second Line :
City : UNION
State : MS
Zip : 39365-9088
Country : US
Telephone Number : 601-774-8214
Fax Number : 601-774-8379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2005
Last Update Date : 04/15/2008

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